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General NPI Number Information
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NPI Number | 1902117757
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Entity Type | Organization
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Legal Business Name | R & R SENIOR CARE
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Dates
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Enumeration Date | 06/27/2010
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Last Update Date | 06/27/2010
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Provider Practice Location Address
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Address Line | 844 SCOTT RD
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City | KIMBALL
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State | MI
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Zip | 48074-3706
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Country | US
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Telephone | 810-367-7224
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Fax | 810-367-7224
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Provider Business Mailing Address
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Address Line | 844 SCOTT RD
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City | KIMBALL
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State | MI
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Zip | 48074-3706
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Country | US
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Telephone | 810-367-7224
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Fax | 810-367-7224
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. RAE ANN MARIE KROHN
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Credential |
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Telephone | 810-367-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AS740278203
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License Number State | MI
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